Recominant human parathyroid hormone (PTH) has a number of clinical uses.
Generic Name: teriparatide
Brand Name: Forteo (Eli Lilly)
Structure: amino acids 1-34
Source: rDNA
Administration: by injection
The drug is approved by the FDA for treatment of:
(1) a woman with postmenopausal osteoporosis at high risk for fracture
(2) a male with osteoporosis at high risk for fracture
(3) during sustained therapy with glucocorticoids AND high risk for fracture
The drug has also been used to treat:
(1) primary or secondary hypoparathyroidism
(2) pseudohypoparathyroidism
(3) neonatal hypocalcemia due to hypoparathyroidism (see cautions)
Contraindications and cautions for use:
(1) hypersensitivity to the drug or its excipients
(2) history of osteosarcoma
(3) risk factors for osteosarcoma (Paget's disease, radiation therapy to skeleton, presence of open epiphyses in child or adolescent)
Specialty: Endocrinology, Clinical Laboratory, Surgery, orthopedic